Oral Health and Dental Management

Regeneration of immature permanent teeth: A case series

International Conference and Exhibition on Dentistry

March 18-20, 2015 Dubai, UAE

Amit Kumar Garg

Posters-Accepted Abstracts: Oral Health Dent Manag

Abstract:

Objective: To present the cases wherein regeneration of the necrotic infected pulp of immature permanent teeth was stimulated in vivo by inducing bleeding at apex and using platelet rich plasma. Method: Treatment strategies for traumatized, immature teeth should aim at preserving pulp vitality to ensure further root development and tooth maturation. This was achieved after disinfecting the canal with a triple antibiotic paste followed by inducing a blood clot scaffold from the periapical tissues and placing PRP in the canal. In the cervical area, a hard tissue barrier was developed with white mineral trioxide aggregate. Composite was used to seal the access cavity. Based on radiographic and clinical findings, a conservative treatment approach was followed to allow continued root development. Results: At the final 2 years follow-up, the teeth showed further root development and were free from symptoms. This treatment approach offers great potential to avoid the need for traditional apexification with calcium hydroxide or the need to achieve an artificial apical barrier with mineral trioxide aggregate. Conclusion: Regeneration of pulp using PRP showed faster development of root than by inducing bleeding at the apex.